- UTMB Health (Webster, TX)
- Utilization Review Case Mgr - CMC - Clear Lake Center - M-F, 8:00 AM - 5:00 PM **Webster, Texas, United States** Nursing & Care Management UTMB Health Requisition # ... in Community Hospitals and UTMB-TDCJ Hospital. + Performs utilization review procedures by prospectively, concurrently, and retrospectively assessing the clinical… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... Access, Case Management, Managed Care and Business Office to improve concurrent review process to avoid denial or process delays in billing accounts Accountable… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, appropriateness, and ... prevention protocols and regulatory compliance. Key Responsibilities: * Utilization Review : o Conduct concurrent and retrospective reviews of patient charts… more
- State of Massachusetts (Boston, MA)
- …able to work, available for work and looking for a job. The Board of Review consists of three staff members, one serving as Chairman. The Board is responsible for ... Approximately 3,000 cases annually are referred to the Board of Review . Members of the Board of Review are appointed by the Governor and report to the Chair… more
- State of Massachusetts (Boston, MA)
- …to work, available for work, and looking for a job. The Board of Review is an independent, 3-member quasi-judicial board, one serving as Chairman, that has ... be appealed to court. Responsibilities include: The Board of Review consists of three staff members, one serving as...3,000 cases annually are referred to the Board of Review . The Chairman oversees the Board's administrative and legal… more
- Nightwing (Sterling, VA)
- …customers in the intelligence community, defense, civil, and commercial markets. **Information Review and Release Analyst - SME** Nightwing seeks a part-time (24 ... hours per week) Information Review and Release Analyst (Subject Matter Expert) in the...flexible work schedule. The position requires an individual to review and thoroughly research the substance and overall context… more
- Micron Technology, Inc. (Boise, ID)
- …to the growth and innovation of the semiconductor industry. As a Process Change Review Board Engineer, it is essential to have a thorough understanding of the ... effectiveness of the conversion process. **Responsibilities:** + Facilitate Process Change Review Board Meetings. + Align and optimize system setups globally,… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign utilization review requests; ... and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone inquiries proving accurate information and… more
- UnityPoint Health (West Des Moines, IA)
- …and hospital by conducting timely initial and ongoing concurrent chart review for hospitalized patients to monitor appropriateness of treatment, resource ... utilization criteria using designated software to complete documentation related to utilization review activities in an accurate and timely manner for the purpose of… more
- Actalent (Atlanta, GA)
- Job Title: Utilization Review RN - Critical Care Location: Buckhead, GA (on-site position) Schedule: Monday-Friday, 8:30 AM-5:00 PM (Rotating weekends) About the ... Role We are seeking a detail-oriented and compassionate Utilization Review Registered Nurse (RN) to join our team. In this role, you will ensure appropriate care by… more